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HomeMy WebLinkAbout041-220-069AP 1-22411 T Melvin French Corner..Tabl.e..Mtn....,Blvd...A-Cotton wood. , Oroville _ Fo Counties Roofing, CONTR: Ch Q,n� ° _ 9' a1 Permit 4986-7 reroof) �'� � � • - • 41- contr : Superior Elec., ille { :• .; `'� Permit Y, ;82E(rewire/SF). i!1a.1 11 al,� 6u�d dxv� 41-22rMrX0 Larr Battson a�/�� r' S corner of All?Mtn. vd. -- -Cotto.nwood, Rd.. ,..Oroville_., ° Permit #267-82B(inst.wood stove/SF) 1 a L� I r AP 1-22411 T Melvin French Corner..Tabl.e..Mtn....,Blvd...A-Cotton wood. , Oroville _ Fo Counties Roofing, CONTR: Ch Q,n� ° _ 9' a1 Permit 4986-7 reroof) �'� � � • - • 41- contr : Superior Elec., ille { :• .; `'� Permit Y, ;82E(rewire/SF). i!1a.1 11 al,� 6u�d dxv� 41-22rMrX0 Larr Battson a�/�� r' S corner of All?Mtn. vd. -- -Cotto.nwood, Rd.. ,..Oroville_., ° Permit #267-82B(inst.wood stove/SF) 1 a I �G���� �I9�f3z � /y"T_ �.• PJROv�c.� �� �/��(8� �� J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. _ ASSESSOR PARCEL AUMBER� ZONING BUILDING' PERMIIT OWNER,l L.'�, +i- S. FF,/9/ 7 7 sc/-)' TELEPHONE 533• LGA' SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS _ A , I � t. x /3.G l,e-avic e F", COSI CONTRACTOR'S NAME - TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace pd CONSTRUCTION LENDER! rw UNKNOWN Total Valuation is Gy -i Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ /•GU ARCHITECT OR ENGINEE j - i(��Y'rj,~fir LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS K� J/waft TI?6[fC /LfM S& V4). PLUMBING PERMIT Filing Fee 10.00 /j _,7 M/tj /'vV'�a� �� (.!/ Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF P11- Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: W5 4iO4)Q &11--/V1NG S1?�Ut Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.pI) OR ADDNS. ACC. BLDGS. 2¢ sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p I y (check One): F-1OCCUp I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y R/L'icense No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR I -OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. / POWER APPARATUS 6) NON-RESID. %SINGLE OUTLET CIR. Ex. OUTLETS OR FIXTURES -BALL nl @I CC Ex. OCcup.(pFIUTLETS XED P(RESID )RE A. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIIng Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Af Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue[ againstvsaid County in consequence of the.granting of this pe�imft. X Date `�'�-'n' 1' Signature of Applicant — Owner R Contractor El Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories iheight. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ • Op OCCUP. GROUP I TYPE OF CONST. -I PARCEL PD ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which I 1/ � DIRECTOR OF PUBLIC B PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS t f� Date e — ` Receipt NO. 5 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4 !1 CS_7 " APPLICATION AND PERMIT L ASSESSOR RCEL NUM — ZONING BUILDING PERMIT OWL EheDU• ATTSO (f/ SO. FT. OCC. BUILDING VALUATION O W/ R� M A I L,. I N GA�F�X ss13 .r, CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING A DDR SS Fireplace ®(�/�� • Qd CONSTRUCTION LENDER N UKNOWN Total Valuation $ ©�-420 Filing Fee $ 10.00 LENDER'S MAILING ADD SS Permit Fee $ 100 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINE 'S MAILING ADDRESS Permit fee $ -P BUILDINGS g��s� A6LC ,M� 13LVD PLUMBING PERMIT Filing Fee 10.00 TTVA A.'VQD D� �i(l 1�- �[J Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition d❑ Remodel ❑ Uti ities ❑ Insta�l latip n�CDjJ Other Describe work: /�tlS% � Groa!� 3Z� "141 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 00V OR ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST'( DWELLING OCCUP.y) OR ADDNS. \ ACC. BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. 2- Xcense No: Classification 1, the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. I.OUTLET 2.50 ea NON-RESID BRANCH CIRCUITS) NEW CONSTR. POWER APPARATUS 6 NON.RESID. SINGLE OUTLET CIR. / 50@250 Ex. Occup OUTLETS OR FIXTURES BAL@1 EX. Occup. (FIXED APPLINISTS (RES. OR P•OUTLETS (RESID•) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabil'ties, judgments, costs, and expenses which may in any way accrue agains aid County i conseque a of the granting of this t. X Dat��0?/ Signature of Applicant — Owner Contractor ❑ gent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ Op OCCUP, GROUP TYPE OR CONST, I PARCEL PD ND 550E This it is hereby issued under sio s of a Butte Co my Code and/or w rk in ate abov for which EC OR PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date r Receipt No. �7 9y WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .�. ..—• ",,.,_<, �;.--��_>+tS. ,.,� �` .:r �.�. _�-+t ti. ...., e�-r.�' `-';.�:,.-�ti. .- ;,V-,,..,:. �;,i ir. � w—. ;�✓r �- ... ... .,� � �..�.. .;,-`� �'..�--•_ o _ _�-- t ,.� _ t fi' 1 COUNTY OF BUTT DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - O ville4California 95965 - Telephone 916/534-4541... APP I(CATION AND PERMIT ASSESSOR PARCEL NUMSER Lir _y ZONING BUILDING PERMIT OWNER.'/ . V /i� � �A)6,4 L -L. TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE X33- 4!021 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN— Q Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NGINEER's LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR MAILING ADDRESS Permit fee $ BUILDING ADDRESS 5/1A.) 4.,4e_1JC 176CIF A,/l i' V19. PLUMBING PERMIT Filing Fee 10.00 1 i /�/1T%�/I%/{//1C�Zi �D. Each Trap 2.00 Repair drainage or vent piping 5.00 6ef-) C—' Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Q Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: A2tC7 )/R%5_- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5A0 / Main service EA. ADD -L 100 AMP 2.50 NEW CONST. DWELLING S aEl OR ACDNS. ACC.BLDG CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full forceand effect. License No. 3 �f54 � I Classification C 16 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR MULTI -OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS 6 NON-RESID, SINGLE OUTLET CIR, Ex. OCCUROUTLETS OR FIXTURES BAL�1 00 FIXED APPLNS. OR Ex. OCCUp.�OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Pl Iws - Permit Fee $ GU Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. a I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrueF_ againstsaid County in consequence of the granting of this permit. (. n S �.. n ^ '�/.. ,Q'/ X Date / + Signature of Applicant — �Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD NO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By. _�"` PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date � s" � Z !�—` 8 A/7 Receipt No. ,S WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Californi�959 Telephone 916/534-4541 APPLICATION AND PERMIT 7w) ASSESSOR P r� L G�cl ff , - / ZONING BUILDING PERMIT OWNE;t, l,V/ - // rR_�- / L1L/A TELEPHONE SQ, FT. OCC. BUILDING VALUATION OWNER'S MAILING A/ ADDRESS CONS{/ /- C..•/`-/2 / CULT-�2/� TE�PO�L�� coST,RGc2TOR'; I r,/GG ss � ��/ G Fireplace CO/NSSTRRUUCCTION LENDER UN NO Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENG EER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUIL IN ADDRESS �` S �'6tE IWA LV� PLUMBING PERMIT Filing Fee 10.00 IV41 bI Qb Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: ��' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service DOOV OR LESS 100 AMP OR LESS L.W— �O Main service EA. ADD'L 100 AMP J� OR ACDNS. (DWELLING ACCBLDGS- F% X2.50NEW 1104 ft 0.U CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business50 and Professions Code and my license is in full force and effect. R �e License No. ���y ate— Classification \ 16 ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044)2E- ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR -OU L T 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. / POWER APPARATUS E, NON-RESID. %SINGLE OUTLET CIR. / @ 250 Ex. OccupOUTLETS OR FIXTURES BAL@1 (FIXED APPLNS. OR Ex. Occup.0UTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 — / AJS io• SO Permit Fee $ 00 Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. cera mn Date 1 Z Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 400 -�3 d OCCUP. GROUP I TYPE OF CONST. PARCEL PD NO I 1550 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC By P I T EXPt ES Date the applicable provi- resolutions to do fees have been paid. WORKS Date l S--002-- / / J 3 Receipt No. �I�S 7 /7 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r� PERMIT NO. 4h2•Sb— /�H P E M i MH UTIL. PERMIT NO. Lo/�PERMIT EXPIRES OWNER Melvin French .CONTR. Four Counties Roofing Cd, Chico LOCATION (A.P. 41-22-59 SW corner Table Mtn. Blvd. and Cottonwood Rd., Oroville ti r ,4 ,i t H Temp. Power Pole Called PG&E _ Temp. Elec. Serv._ Called PG&E _ Temp. Gas Serv. _ Called PG&E _ JOB FINALED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD ' BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidinq To out Slab Roof Sheathing_Water Piping Piers Roofing Sewer Garage Fdn. Vents . Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final V U' Sanitation - Patio FIREPLACE Final Footings Footing ELECTRICAi Masonry Walls Throat Rou h Reinf. Steel Final Fixtures . Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive —' 'OroviIIe, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT .. �cN�cocillallvca UI 1110 VUU11 y Vi �UIIC lU CIIICf UIlUn LnC above-mentioned property for inspection purposes. X Date g ature O Perrmitee or Agent Receipf No. I—F6 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By `—` Date 3 c� Building permit expires Date BUILDING Owner Melvin French, � SQ. FT. OCC. BUILDING VALUATION Comp. re -roof Mailing Address Rt. 1 BOX 135A Oroville, California Telephone No. Fireplace Contractor Four Counties Roofing Company Total Valuation $2,056.00 Mailing Address P.O. BOX 3215 Permit Fee Plan Checking Fee &/or Penalty Chico,California Tel pho3-001 ne N • 3� Permit Fee Bui in A dress Table Mount ,&O Blvd. o - PLUMBING No. @ FEE PERMIT FILING FEE $3.00 a,4vtzottonwood Road itx Each Trap 1.50 ��, Oroville, California Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.,- c7 Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F. s -sar,iration FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 -8449_ _ F,ed Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 Com re -roof Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) — Single FamilyF&] Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bol d2 Receps., switches & fix outlets 20 P 2b CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of:Water y Four Counties Roofing Company Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. 252071 Classification E -1-C-39 Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ I FEE PERMIT FILING FEE J$3.00 Heating Cooling, Ventilation Hood 2.00 Permit Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE .. �cN�cocillallvca UI 1110 VUU11 y Vi �UIIC lU CIIICf UIlUn LnC above-mentioned property for inspection purposes. X Date g ature O Perrmitee or Agent Receipf No. I—F6 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By `—` Date 3 c� Building permit expires Date